ELENA JACOBS

STAR, ID
NPI1316617681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  1871747)
Enumeration Date2021-09-17
Last Update Date2025-04-21
Business Address
ELENA JACOBS
9858 W STATE ST
STAR, ID 83669-5210
Phone number: 208-286-9471
Mailing Address
ELENA JACOBS
9858 W STATE ST
STAR, ID 83669-5210
Phone number:
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